National Provider Identifier

Mary Kathryn Bellizia, LCSW, CASAC

Mary Kathryn Bellizia, LCSW, CASAC is listed in the NPPES registry with a primary specialty of Social Worker in Elmira, NY and a listed phone number of (607) 737-4040.

NPI 1689717019Elmira, NYSocial Worker

Profile Overview

NPI
1689717019
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
February 15, 2007
Last Updated
July 08, 2007

Practice Location

  • 100 N Main St
  • Suite 214
  • Elmira, NY 14901-2901

Phone: (607) 737-4040

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1689717019
Entity Type
Individual
Last Name
Bellizia
First Name
Mary
Middle Name
Kathryn
Name Prefix
MS.
Credential
LCSW, CASAC
Mailing Street Address
100 N Main St
Mailing Address Line 2
Suite 214
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2901
Mailing Country
US
Mailing Phone
(607) 737-4040
Mailing Fax
(607) 734-0774
Practice Street Address
100 N Main St
Practice Address Line 2
Suite 214
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-2901
Practice Country
US
Practice Phone
(607) 737-4040
Practice Fax
(607) 734-0774
Enumeration Date
February 15, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)